Glendale Gardens Nursing & Rehab
3535 East Cherokee · Springfield, MO · 65809 · 4178899955
120 certified beds For profit - Limited Liability company Chain: James & Judy Lincoln
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 3 of 5 Staffing: 2 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.01 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.56 | 0.55–0.75 |
| Weekend hours / resident-day | 2.30 | ≈ weekday level |
| Nursing turnover / year | 56% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (34 in the current record)
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Potential for harm · D April 24, 2026 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected June 1, 2026 · Resident Rights
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Potential for harm · D March 4, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected April 20, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 11, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected January 24, 2026 · Resident Rights
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Potential for harm · D December 11, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 24, 2026 · Quality of Life and Care
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Potential for harm · E December 11, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 24, 2026 · Quality of Life and Care
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Potential for harm · E December 10, 2025
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected January 24, 2026 · Resident Rights
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Potential for harm · E December 10, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected January 24, 2026 · Resident Rights
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Potential for harm · E December 10, 2025
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected January 24, 2026 · Quality of Life and Care
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Potential for harm · D December 10, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 24, 2026 · Quality of Life and Care
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Potential for harm · E December 10, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected January 24, 2026 · Quality of Life and Care
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Potential for harm · E December 10, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected January 24, 2026 · Pharmacy Service
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Potential for harm · E December 10, 2025
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected January 24, 2026 · Pharmacy Service
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Potential for harm · E December 10, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 24, 2026 · Nutrition and Dietary
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Potential for harm · E December 10, 2025
Provide and implement an infection prevention and control program.
Corrected January 24, 2026 · Infection Control
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Potential for harm · E December 10, 2025
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Corrected January 24, 2026 · Environmental
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Potential for harm · D July 1, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected July 21, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 1, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected July 21, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 1, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected September 15, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 8, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected March 22, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 8, 2024 · found via complaint
Respond appropriately to all alleged violations.
Corrected March 22, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 26, 2024
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected March 11, 2024 · Resident Rights
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Potential for harm · D January 26, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected March 11, 2024 · Quality of Life and Care
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Potential for harm · E January 26, 2024
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected March 11, 2024 · Quality of Life and Care
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Potential for harm · D January 26, 2024
Provide routine and 24-hour emergency dental care for each resident.
Corrected March 11, 2024 · Quality of Life and Care
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Potential for harm · F January 26, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 11, 2024 · Nutrition and Dietary
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265473 · certified since October 28, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.